Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Biovance 1 square cm
Davis, CA
See all hospitals reporting HCPCS Q4154 →Price type
Sutter Davis Hospital’s median price of $307 is 76% above the median hospital's median price ($174), higher than 79% of the 1,083 hospitals reporting HCPCS Q4154. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicare adv_ hmo / ppo facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 2 | Blue Cross Blue Shield hmo/ppo facility · fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 3 | Blue Cross Blue Shield individual facility · fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 4 | UnitedHealthcare hmo / ppo facility · fee schedule · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 5 | UnitedHealthcare hmo/ppo facility · fee schedule · outpatient | $397 | $397 | — | — | — | $397 – $397 |
Last updated: Apr 1, 2026
See Biovance amniotic tissue graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.